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人类遗传性疾病的基因与细胞治疗:最新进展与未来方向。

Gene and cell therapy of human genetic diseases: Recent advances and future directions.

机构信息

Department of Gene and Cell Therapy, Faculty of Medicine, Akdeniz University, Antalya, Turkey.

出版信息

J Cell Mol Med. 2024 Sep;28(17):e70056. doi: 10.1111/jcmm.70056.

Abstract

Disruptions in normal development and the emergence of health conditions often result from the malfunction of vital genes in the human body. Decades of scientific research have focused on techniques to modify or substitute defective genes with healthy alternatives, marking a new era in disease treatment, prevention and cure. Recent strides in science and technology have reshaped our understanding of disorders, medication development and treatment recommendations, with human gene and cell therapy at the forefront of this transformative shift. Its primary objective is the modification of genes or adjustment of cell behaviour for therapeutic purposes. In this review, we focus on the latest advances in gene and cell therapy for treating human genetic diseases, with a particular emphasis on FDA and EMA-approved therapies and the evolving landscape of genome editing. We examine the current state of innovative gene editing technologies, particularly the CRISPR-Cas systems. As we explore the progress, ethical considerations and prospects of these innovations, we gain insight into their potential to revolutionize the treatment of genetic diseases, along with a discussion of the challenges associated with their regulatory pathways. This review traces the origins and evolution of these therapies, from conceptual ideas to practical clinical applications, marking a significant milestone in the field of medical science.

摘要

正常发育的中断和健康状况的出现通常是由于人体重要基因的功能障碍引起的。几十年来,科学研究一直专注于用健康的替代物来修饰或替换有缺陷的基因,这标志着疾病治疗、预防和治愈的新时代的到来。科学技术的最新进展重塑了我们对疾病、药物开发和治疗建议的理解,人类基因和细胞治疗处于这一变革性转变的前沿。其主要目的是为了治疗目的而修饰基因或调整细胞行为。在这篇综述中,我们专注于基因和细胞治疗治疗人类遗传疾病的最新进展,特别强调了 FDA 和 EMA 批准的疗法以及基因组编辑的不断发展的格局。我们研究了创新基因编辑技术的现状,特别是 CRISPR-Cas 系统。在探索这些创新的进展、伦理考虑和前景的同时,我们深入了解了它们在治疗遗传疾病方面的潜力,同时还讨论了与这些创新的监管途径相关的挑战。这篇综述追溯了这些疗法的起源和发展,从概念理念到实际的临床应用,标志着医学科学领域的一个重要里程碑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56c1/11381193/f701a862b669/JCMM-28-e70056-g004.jpg

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